Medical apparatus for the treatment of the intestines



June 8 1926. 1,588,633

' A. KLAIBER MEDICAL APPARATUS FOR THE TREATMENT OF THE INTESTINE$ Filed Sept. 4, 1924 3 Sheets-Sheet 1 INVENTOR 17LBERT KLHIBE ZWVL A RNEY8 June 8 1926.

A. KLAIBER MEDICAL APPARATUS FOR THE TREATMENT OF THE INTESTINES Filed Sept. 4, 1924 3 Sheets-Shoot 2 INVENTOR 41.8521 KunBER AiTORNBYS June 8 .1926.

- A. KLAIBER norm APPARATUS FOR THE TREATMENT ,OF THE mwssmuas Filed Sept 4, 1924 3 Sheets-Sheet :5

lNVE-NTOR flLBERT KLfl/BER' ATTORNEYS Patented June 8', 1926.

surf-E11) vs'ir"MES ALB RT KIJA'IBER, on BROOKLYN, NEW YORK.

V MEDICAL APPARATUS'FORdII-IE TREATMENT OF THE INTEST'QIINES.

I weeten filled September 19 24. Serial no. 735,744.

meZ t-i pon t e; ppar us; di lpednin the Broseh zet 7211.; United States P2 ttent No.

1,093,251,1dtmted Ayn-151 14,- 1914. f' 1 1. the use d fth pp mt show s id sate ite-dim- ,cultv has: e ;exper ene i ifledj st ngfl saddle and assoclfltd parts to di ffepent mtients owing toflvzprmtions i n bOdy poinformations which, I in, some instences, oeuse I consldemhle dlscom'fiort dunng the eoursepf 1 a treatment. Alsoiit has been found difii- ,cultto, maintain thehighestdegree of sanitatlon While the appm'etus of said p atent is in use. Furthermore, actualexperience and --pract1ce has shown that the most efficient results are obtalned when the, patlent 1s re out-and the upper :portion; of the body ffree tusofsaid, patent is employechdiffieulty .experiencedfin, maintaining the correct posl- 'tion. of the saddle on the bottom of the tub and the shoulder straps used tojretain the saddle in proper positionreletive to the I body "have been found toio'bstruct proper breathing Y An 0b ect.of thej-pi'esent 'i nvention isito c overcome the. difiieulties above referrednto by. providingan improved apparatus; which is constructed insuchnmnner that the same may be readily adjusted inmoperative position' co-eliminate ."all discomfort to the patient.

A further sob'ect is "to avoid dan 'en-of infeotion to'patients bywpreventing matter discharged from the intestines from accumu- I'll-ting in the medlcament'supply tank, whlch 'nmtter .mlght'otherwlse he 1n]e cjted 'I1I1'EO subsequent patients taking the vtreatment.

A further object is the pro'vision ot a drainage apparatuswhichwillpermit of observations being ,made during the course of a treatnlen tfand whereln provlsl'on -1s 'nmde for "acculnulat ng chschzn'gedv matter which inmy'be examinedand tested follow- I I I I A V x and e e ib fil n y c rp nd n S er. -Np.;7i;35,7%3 filed onen ey drainage fa-ppafatus that the 1 parts tI i er e i ,vployed in eonneetionyw ith ithev inv with Water the will always be inpr'ofierspositidn regs idth at the wete r illxtheIf tub Indy/ he drained theretlfo tn the oonclnsidn of tleettrne nt by a menlpulet on, of ssidfr epm1e Th see-mane other objects win appear a qpi pga yifi ii svmgw i l tte eya preferred erhlh'odiinentofthe invent-names.

Ma th d win s- Figure vl ,ls

e s 4 A pe lft it' ir away and shown 1n seictl on',,of-thefdreinege .geceptaoleand eslsoc'iiLtdfpiirts,;f I; I Figure 3 is'e top pldn vi'ew ofthe weep vtat-1e. l I Y clining in the bath Withthe legs straightened I Figure 2.

I so'that deepend reguflar'breathing may take Figm e t isa sectional View illustttz, Big 25 .1 th (30111180131011, when the eppara- -the reeep tacle l n posltlon to P'efin'it the drainege of the tub. I Y F gure 61s a longltudlntdfsectlfon tht'ough t; l tlonthrough a checkvyelve" stiuetui'ei ein- The: p i t P rtiw e l d s ne for PP se in Stibsmnssuy the a seine 3115mm was set forth] aboveentioned, patent. That is, the treetinent, fwith; {the fziijpefetds in vo1x e's -the seating '01 .the patient Within a bath tuh dfi, If I I otheifsuit'eible, 're'cptitcle I I I I to about'thelei elof ithe Chest anal st-blood tenipei'ature This 1s done for thejp unpose of; dreeting mime; lot, pressure upon 'the hody of T the which EiQti-QQ Q-Bis'e sideelevetion ken will, at leastfinlpeft, eounte rziet the l'p 'ressuie in'gwenemas 'ln vjth e, custonmry .niannej. I

- T ppa a e f eiee' a? l f fi I ompnsm a with and reterene is 'heieoy niede to said 1 the arm ll as fully described in the above mentioned application.

An inflatable pad 27 is mounted upon the saddle body11 to form a cushion for the patient. An extension 31 projecting from the duct 19 has mounted therein a feed tube 33 to one end of which is connected the anal tube 37 extending from said saddle.

A waist-encircling belt 45 including a flexible cover 17 is utilized to support the saddle in proper position, the belt being connected to said saddle bythe straps 53 and 55.

The medicinal compound or compounds used in eifecting a treatment are fed to the tube 33 through a flexible hose 57 one end of which is attached to said tube while the other'end is connected to a tank 58 containing the compound, said tank being suspended above the tub 10 in any suitable manner. A valve 59 is used to control the flow of the fluid from the tank into said hose.

- It sometimes becomes desirable to inject a second medicinal compound of a different nature than that contained in the tank 58. For this purpose a second tank 60 is employed having a branch connection 61 w1th the hose '57. A valve 62 of any. suitable construction may be used to regulate the flow of fluid from the tank 60.

Interposedin the hose 57 is a check valve structure 63 suspended from the tank 58 and utilized to prevent back pressure, sometimes occasioned by'actions of the patient when attempting to emit a discharge from the intestines, from forcing any of the waste into either of the tanks 58 or 60 which might otherwise contaminate said tanks and cause infections to subsequent patients. The

. .detail construction of this check valve structure will presently be described.

A branch 64- is also connected to the hose 57 through a two-way valve 65 of any well known construction. Said branch carries an air bulb 66 which is utilized for the injecf tion of air into the hose 57 and through 'the tubes 33 and 37 should the end of the latter tube in the anus become obstructed by discharge from the intestines. hen employing thismeans for clearing the tube 37 the flow of medicine is shut oil and the valve 65 turned to close the upper portion of the hose 57 At any time during the treatment or at its conclusion, it may be desirable to test the valved pipe 69 extending from and coinmunicating with the interior of said duct.

The check valve'structure 63 will nowbe describedin detail. The wall 76 of the easing of this structure is made of transparent material, such as glass, to permit of observing the level of the liquid in the casing. The top 77 of the casing is removable and held in place by a rod 78 the lower end of which is threaded into a boss 79 formed on the bottom 80. A ring 81 carried by the upper end of said'rod may be utilized to suspend thecasing from a suitable support,

such as the tank58. Preferably formed integral with the bottom 80 is a valve seat 82 extending upwardly into the casing. A nipple 83 depends from the bottom 80 in direct alignment with the valve seat 82 and has connected thereto a short hose 84: joining the tanks 58 and 60 with casing 63. A check valve 85 is mounted on the valve seat 82 for normally closing said seat and is enclosed by, an apertured cap 86 threaded upon the upper end of said seat. hen the medicament is fed from either of thetanks 58 or 60, the same flows through the hose 8%, and the pressure thereof lifts the valve 85, thereby permitting the liquid to enter the casing 63. From thence, said liquid will flow downwardly through the outlet 87 into the hose 57 to the anal tube 37. During the feeding of the medicament an air valve 88 is kept closed and this valvemaybe opened to permit of all the liquid being drained from the casing 63 at the termination of a treatment. From theforegoing description, it will be obvious that should any back pressure in the hose 57 occur for any rea son, which pressure would be suflicient to overcome that of the fluid flowing from either of the tanks 58 or 60, the valve 85 will immediately close and prevent any for eign matter from entering said tanks.

The drainage apparatus including certain of the novel features of the invention will now be described. This apparatus includes a flexible tube 70 which is connected at one end to the duct 19 and at itsother end to a sight tube 71. As shown in detail in Figure 6, this latter tube includes a metal casing 89, the2end90 of which is ireduced and screw threaded to receive a coupling 5'91 which connects one end of a pipe 72 to the casing. within the casing 89 and has interposed between its ends and the adjacent portions of the casing andpipe 72 the gaskets 93 which prevent end play of the cylinder within the casing. \"V'ith this construction it will be apparent that observations may be made of the contents of the intestines as they are discharged through the sight tube.

The pipe 72 telescopes within an adjacent end of another pipe 73 and is adjustable therein to vary the efiective length of said pipes in accordancewith the height of a patient and his position within the tub. A set screw 74: may be employed, if desired, to secure the pipes 7 2 and 73 in their adjusted positions. One end of the pipe 7 3 is extended downwardly and pivotally and slidably connected in the top of a drainage are formed in the plates 9e and each,

receives a Wing nut 98. The nut 98 at the left of Figure 4 is used to secure the member 95 in any of its adjusted positions While the nut at the right of said figure is engaged with the pipe 7 3 to fasten said pipe in a vertically adjusted position withinthe opening 99 in the member95. Thus it is possible to raise and lower the pipe 7 3 so as to position a portion of the sight tube 71 above the level of the water in the tub and to also pivotally move said pipe in a vertical plane so that the tubes and 71 will be maintained ,in substantial alinement with the duct 19.

Remo-vably mounted within the receptacle is a perforated contain-er 100 utilized to catch the discharge from the intestines if it is desired to make an examination or test after the treatment has been concluded. This container may be removed, if desired, and the discharge permitted to flow directly through the drain opening" in the tub 10.

For the purpose of mounting the lower end'of the receptacle in the drain opening of the tub a bushing 101 is mounted in said opening and secured in position by the rings 102. Said bushing carries a pin 103 engageable in a double bayonet slot 10 1 formed in the lower end of the receptacle 75. Said lower end is also provided with adischarge opening 105 which is located below the bot- A glass cylinder 92 is mounted in F gur Figure 2, thus preventing the escape of 105 above the bottom of he ;tub, as,s hown By the use of the 'present apparatus, it

to o t a chand. W t n th laughing 1 1 1 whe -the parts re i th 'p iti nehovn in .water from the tub. "To drain vvt-l' etub, the

receptacle 7 5 may be givena slight rotation vto 'disengagethe pin 103 tromqthe upper end of the slot .104 whereupon said .recepg .tacle maybe lifted to lo-catetheopening is possible to inject into the intestines and V circulate th'erethrough as much as six gallons of a compound and this has been re fort tothe patient. Furthermore, from the foregoing description it will be obvious that the present apparatus is highly sanitary and most efficienti in eliminating all possibility of infection. I 1

What is claimed is 1. In a medical apparatus for the sub aqueous treatment of the intestines, the combination with a tub in which the patient is seated and whichis provided'with a drain opening, and medicament feeding means within said tub; of a drainage apparatus connected to said means and including a waste. receiving receptacle having an outlet capableof connection with the drain opening in the tub and normally preventing the escape of water from the tub through said opening, and means associated with the outlet of said receptacle and operable to permit said water to discharge through said drain opening.

2. In a medical apparatusfor the subaqueous treatment of the intestines; the combination with a tub in Which the patient is seated, and medicament feeding means located within said tub; of a' drainage apparatus connected to said means andinclud- 'ing a Waste'receiving receptacle mounted within said tub and connected to the drain opening therein, andcooperating means in said drain opening and said receptacle permitting movement of said 'receptacleto discharge water in said tub throughsaid drain opening.

4:. In a medical apparatus for the treatmentof the intestines, medicament feeding means, a waste receiving receptacle, a dis charge pipe including sections having longitudinal movements relative to each other and pivotally connected to said receptacle and movable in a vertical plane relative thereto, a sight tube connected to said pipe, and a flexible connection joining said sight tube with said feeding means,

5. In a medical apparatus for the subaqueous treatment of the intestines, the

combination with a tub in which the patient is seated, and medicament feeding means located Within said tub; of a drainage apparatus connected to said means and in 1 eluding a waste receiving receptacle mounted Within said tub and connected to the drain opening therein, and cooperating means in said drain opening and said receptacle permitting initial rotary and subsequent vertical movement ofsaid receptacle to discharge Water in said tub through said drain opening.

In testimony whereof I have affixed my signature.

ALBERT KLAIBER. 

